It is common for skin to get dry and the condition is marked by less than the required water in the epidermis (the topmost skin layer). Males and females are equally affected by it. With age, the incidences for having dry skin increases. Elderly people tend to have less amount of natural lubricants and oil in the skin. Areas like the hands, lower legs and arms are more prone to have dry skin. Atmospheric humidity also affects the dryness of skin. It is called xerosic dermatitis or xeroderma.

It might be temporary and mild and may last for some days. In some cases, it can become a severe long-term problem. Dry skin symptoms encompass itching, discomfort and skin tightness. Winters and dry, cold air also affects your skin and the result is dry skin.

Why it normally occurs?
Individuals who wash or sanitize their hands more often can experience a greater degree of dry skin.

Medications may also induce this condition.
The epidermis layer of the skin normally has protein and fat, which prevents dehydration in the skin. When the fatty oils in the skin are removed, the moisture and protection of the skin is lost. The skin becomes more sensitive and breakdowns easily when it gets dried. It might cause the skin to become powdered or may be invisible.
Red rash may appear if dry skin is left untreated. Simple treatment and prevention measures have been effective in dry skin treatment.
Avoid chemical cleansers and harsh soaps is an effective way to prevent dry skin. Moisturisers and bland emollient application on a regular basis have shown effectiveness for treating the condition.
Cellulitis, bacterial infections and eczema might be complications arising from dry skin. Thankfully, dry skin generally is mild and the remedies are easy.
Generalised winter itching is also called winter itch and can be seen commonly amongst older people. It is mainly caused due to dry skin.
People suffering from eczema may also experience winter itch.
Cold temperature and low humidity can make the dry skin worse in winters.
In case you have a concern or query you can always consult an expert & get answers to your questions!

Dry Skin - Why It Normally Happens?

Piles or haemorrhoids are swollen veins in the rectum or anus. They can have a lot of possible causes, but the exact reason is still unknown. The one most common reason that researchers cite is the excessive straining during bowel movement and increased pressure on the veins during pregnancy. Some of the common signs of this condition include discomfort, bleeding, and itching. A clot can be witnessed occasionally. There could be swelling around the anus as well.

How is a pile diagnosed?
Doctors often recognize this condition just by doing a physical exam of the rectum. By lubricating the glove and inserting a finger into the rectum, a doctor can gauge any unusual growth around the rectum area. A doctor might also use a sigmoidoscopy or a proctoscopy to witness the lower portion of the colon. Apart from this, a doctor might prescribe a colonoscopy, if he fathoms that there is a possibility of colorectal cancer or a disease related to the digestive system.

Treatment of piles

Medication: In case of mild discomfort, a doctor might prescribe over-the-counter pads, ointments, creams or suppositories. Products such as these contain lidocaine, witch hazel or hydrocortisone that can relieve a person from itching and pain. One should stop consuming over-the-counter medicine, if there is no change in the condition.
Haemorrhoid thrombectomy: If a clot has appeared along with a pile in the rectum, a doctor can remove it by making an incision and draining the clot. This can fetch instant relief. The best time to do this is within 72 hours of clot formation.
Minimally invasive procedures: 
Rubber band litigation: This form of surgery involves placing of a couple of rubber band at the base of the piles to cut off blood circulation. In due course, the haemorrhoids fall off. Although this form of treatment works for many people, the patient has the risk of bleeding within few days of placing the rubber band.
Sclerotherapy: This form of treatment involves injecting a chemical into the haemorrhoid. The chemical shrinks the piles within few days. There is hardly any pain involved with sclerotherapy.
Surgical procedure:
Haemorrhoidectomy: This is the process by which a surgeon eradicates the excess tissue that might be causing the piles. The patient is sedated before performing this procedure. Some amount of pain is experienced after the procedure is over. The temporary difficulty of urination can be faced by a patient after this procedure.
Stapled hemorrhoidopexy: This surgery is only performed for internal haemorrhoids. The process involves blocking the blood supply. The process of stapling has less pain compared to a Haemorrhoidectomy. On the flip side, studies have shown that this procedure has an increased chance of recurrence of haemorrhoids.


Piles - Diagnosis and Treatment

The production of gas in the body is a natural process as long as it is within normal limits. Whether it makes you burp or causes flatulence, excessive gas can be embarrassing. Gas can also make you uncomfortable and cause bloating. This is simply the buildup of excessive gas in the stomach before it is ready to be released. Here are a few simple tips that can help you prevent the buildup of excessive gas.

Avoid eating gaseous foods: Beans, broccoli, milk, cheese and fruits like pears and apples; these are some of the foods to avoid if you suffer from frequent bouts of gaseousness. This is because they contain fiber and sugar that is difficult to digest and creates gas. If you cannot avoid them completely, try steaming them instead of frying or baking them. Some people may also react to certain food combinations such as fruits and proteins by producing gas. Keeping a food diary may help identify such combinations.
Drink a glass of water before meals: Drinking water while you are eating can hinder digestion. When water mixes with solid food, it interferes with the way stomach acid breaks down food. Instead, drink a glass of water half an hour before your meals. In this way, the water flushes your system and prepares it for the digestion process.
Eat slowly: Grabbing a bite on the go is one of the leading causes of indigestion. When you eat anything, ensure that you chew it properly and do not swallow large bites of food. This prevents air from collecting in your stomach and thus prevents gaseousness.
Probiotics: Probiotics boost the production of  good gut bacteria  that is essential for digestion. Probiotics can also help ease bloating. If you suffer from gas, try including probiotics like yogurt, pickles, kimchi and buttermilk in your diet or get yourself a probiotic supplement.
A cup of chamomile tea: Chamomile not only calms the body but can also fight indigestion and gas. A cup of chamomile tea after a heavy meal helps speed up the digestion process. This helps relieve bloating, as the faster the stomach is emptied, the faster gas can move out of the stomach and into the intestines. Fennel, dill, peppermint and ginger can also be used as alternatives to chamomile.
Digestive aids: Gas is a fairly common problem faced by a number of people and hence digestive aids are easily available over the counter. Look for medication that contains activated charcoal or digestive enzymes.
If gaseousness persists over a long period of time and is not eased by any of these remedies, consult a doctor at once.


Intestinal Gas - How It Can Be Treated?

A neurological disorder is characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.

Role of Physiotherapy in Epilepsy

It helps improve strength, mobility, and increases the range of motion and sphere of movement.
It helps improve sensory awareness, response, balance, and coordination.
It helps to improve quality of movement and physical performance.
The Goals of Physiotherapy

To develop strength enough to support one s head upright
To have balance and motor control to maintain their trunk at midline
To use many different muscle groups
To assist necessary motion in their trunk and extremities
The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals
To understand what the patient is good at and does well
To focus on what he or she capable of doing rather than on what they can t do
To educate and provide awareness with a view to prevent injury. For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool
Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and wellbeing in this way can help reduce seizures. It can also help people feel more in control of their health. It also helps release  feel good  hormones into the brain, helps keep the muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. It can also increase the bone density. A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks resulted in a significant reduction in the number of seizures they had.

Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.

Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. Making new friends may help with any feelings of isolation. Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk. 

Role Of Physiotherapy In Treating Epilepsy!

The bowel is a very important part of your body within the digestive system as it plays a vital role in the absorption of nutrients and minerals within your body as well as excreting toxic matter. The bowel contains the small bowel or small intestine as well as the large bowel or the large intestine. However, parts of the bowel may be infected or damaged in such a manner that they may need to be removed in order to save further worsening. Thus, the removal of sections of the bowels is known as bowel resection surgery.

How is bowel resection surgery performed?

In this procedure, sections of either the large intestine or the small intestine are removed which have either become diseased, infected or have malignant growths within them. The doctors and surgeons first identify the sections that need to be removed and then perform the surgery wherein a section of the tissue is excised and then two ends of the bowel are stitched together to form a new section of continuous small intestine or large intestine.

Types of bowel resection
There are two types of bowel resection, namely small bowel resection performed on the small intestine and large bowel resection performed on the large intestine. The indications for both of them are mentioned below:
Small Bowel resection: Some of the cases wherein small bowel resection may be required are as follows:

Cancerous or benign polyps or growth
Precancerous growths and polyps
Damage to the small intestine due to injuries
Congenital defects in the small intestine
Blockages in the intestine
Growth of ulcers, bleeding, and infection within the small intestine
Infections within the intestines
Other disorders of the small intestine
Large bowel resection: Large bowel resection is also carried out due to many of the same reasons as mentioned above. However, some of the specific reasons for large bowel resection are mentioned below:

Colon cancer
Diverticulitis, disorder that specifically affects the large intestine
Bowel inflammation or ulcerative colitis
Abnormal twisting of the bowel also known as volvulus
Intestines which slide into another section of the intestine; also known as intussusception
Risks of the bowel resection
Like any other surgery, bowel resection also carries its own risks just as any other form of surgery. Some of the common risks of bowel resection are  

Adverse reaction to anesthesia
Infections
Heart attacks or strokes during the operation
Infections
Excessive bleeding among others
Specific risks for large and small bowel resections are mentioned as follows:

Small bowel resection: Certain common risks include accumulation of pus in the abdomen, internal bleeding within the intestine after surgery, diarrhea, infection of the incision area and the stitched area breaking open among others
Large bowel resection: In this case, tissues protruding through the cut causing an incisional hernia is the most common element of risk. Nearby organs may be damaged as well; scar tissue, problems with the passage of material within the colon among others are some of the other complications.
However, these issues occur rarely and resections are performed very successfully and quite regularly by surgeons.

Bowel Resection Surgery - Facts You Should be Aware of 

Pelvic Inflammatory disease (PID) is a bacterial infection that affects a woman s reproductive organs. This disease is not contagious though men can host and transmit the bacteria that triggered the disease through intercourse. Chlamydia and gonorrhea are the two most common causes of this disease. Apart from being transmitted sexually, this disease can also develop through the insertion of an unsterilized contraception device into the vagina or during a gynecological procedure such as an abortion. In rare cases, normal bacteria from the vagina can also spread into the uterus and fallopian tubes triggering this disease.
PID can be fatal and should not be ignored. Lower abdominal pain is the primary symptom of this disease. This pain can vary from being mild to be seriously debilitating. Other symptoms of this condition are:
Abnormal or foul vaginal discharge.
Painful intercourse that may be accompanied by bleeding.
Irregular periods.
Spotting between periods.
Severe menstrual cramps.
Burning sensation while urinating.
Urge to frequently urinate and an inability to empty the bladder.
Swollen abdomen.
High fever alternating with chills.
Swollen lymph nodes.
Diminished appetite with nausea.
Weakness and depression.
Lowered libido.
PID can often produce a pus-like fluid that scars the reproductive organs. This can result in infertility. This risk is influenced by the duration and severity of the infection along with the number of times it recurs. Women suffering from pelvic inflammatory disease are also at a higher risk of having a tubal pregnancy. This type of pregnancy is fatal for the baby and also threatens the life of the mother.
In cases where the disease is triggered by an STD like gonorrhea or Chlamydia, it can also spread to the liver tissues. This is a complication known as the Fitz Hugh Curtis syndrome and causes a collection of pus in the form of an abscess in the fallopian tubes or ovaries. If this abscess ruptures, the pus would spread into the pelvic cavity causing severe pain, nausea and a fall in blood pressure. If it spreads further into the blood stream, it can be fatal.
Diagnosis of this disease is difficult as its symptoms are usually mild and common to a number of other conditions. However, once diagnosed, it can be easily treated through antibiotic medication. Surgery is required only in cases where there is no response to antibiotics or if an abscess bursts or is at a stage where it may.  


Can Pelvic Inflammatory Disease Prove to be Fatal?

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